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7 Initial authorizations will be considered for up to 6 months. Continuation of Therapy LIC is 3 to 7mg Fe/g dw or 20mg/kg/day if LIC is 7mg Fe/g dw or Jadenu- 7mg/kg/day if LIC is 3 to 7mg Fe/g dw or 14mg/kg/day if LIC is 7mg Fe/g dw. Purchase all drugs billed to Medicaid on the CE s NPI under 340B unless the product is not eligible for 340B pricing. Initial Requests Patient has a recent history of frequent blood transfusions resulting in chronic iron overload Yes provide recent transfusion...

How to fill out 8-ap-454 - dhs iowa

How to fill out 8-ap-454

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Who needs 8-ap-454?

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What is 8-ap-454?

8-ap-454 is a form used for reporting certain information to the relevant authorities.

Who is required to file 8-ap-454?

Entities or individuals who meet the criteria set forth by the regulatory authorities are required to file 8-ap-454.

How to fill out 8-ap-454?

To fill out 8-ap-454, you need to provide accurate information as requested in the form and submit it to the designated authority.

What is the purpose of 8-ap-454?

The purpose of 8-ap-454 is to ensure transparency and compliance with regulatory requirements.

What information must be reported on 8-ap-454?

The information required to be reported on 8-ap-454 includes details about financial transactions, ownership interests, and other relevant information.